Schedule a Test

If you are a UHD student with a disability who has the accommodation to test in disability services, please complete this form. To ensure your accommodations, send your request
24 – 48 hours prior to test date. With shorter notification, we will attempt to meet your testing needs. Additionally, please remind your instructor to send your exam to Disability Services.

STUDENT INFORMATION

First Name

Last Name

UHD ID#

E-Mail

Phone Number

TESTING INFORMATION

Course Number (example, MATH 1301)

Instructor Name

Instructor email

Test Date

Test Start Time

TESTING ACCOMMODATIONS

Please indicate all accommodations needed:

Extended time?
Yes
No

Computer access?
Yes
No

Reader/scribe?
Yes
No

If you need another accommodation, please specify below (Only approved accommodations listed on your accommodation forms can be requested):

Additional Comments

SUBMIT FORM

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If you have questions, comments, or problems with the form, call us at 713-226-5227.